Orlando Primary Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ORLANDO PRIMARY MEDICINE, LLC

Practice address

11616 Lake Underhill Rd Ste 205
Orlando, FL 32825-4466

Phone

(407) 601-5308

Fax

(407) 482-8698

NPI assigned

May 11, 2023

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vineel Sompalli, MDNPI 1588623334

Title

Manager

Phone

(407) 482-7788

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Orlando Heart & Vascular Center LLC

  dba Orlando Primary Medicine

  • Interventional Cardiology Physician
  • Orlando, FL
  • NPI 1033230347

  Member Of

  NPD member

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Sanjuan, MD

  • General Practice Physician
  • Orlando, FL
  • NPI 1306270509
  Medicare reassignment Care Compare group NPD
• Jose N Fuentes, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1285654319
  Medicare reassignment Care Compare group
• Vineel Sompalli, M.D

  • Interventional Cardiology Physician
  • Orlando, FL
  • NPI 1588623334
  NPD Authorized official
• Joann Mordenti, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1457695520
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1376233346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254465",
            "telephone_number": "407-601-5308",
            "fax_number": "407-482-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254466",
            "telephone_number": "407-601-5308",
            "fax_number": "407-482-8698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 S Hiawassee Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328355706",
            "country_code": "US",
            "telephone_number": "407-601-5308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORLANDO PRIMARY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "SOMPALLI",
        "authorized_official_first_name": "VINEEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-482-7788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Ppec LLC (Orlando PPEC)
• Orlando Ppec LLC (Orlando PPEC)
• Orlando Premier Care LLC
• Orlando Premier Psychiatry LLC
• Orlando Primary Care PA
• Orlando Procare Pharmacy, Inc.
• Orlando Psych Group, P.a.
• Orlando Psychiatric Associates Inc. (OPA Behavioral Health Inc.)
• Orlando Psychiatric Care LLC
• Orlando Pulmonary and Critical Care Associates Inc

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.